PHOM Indicator Profile Report of Coronary Heart Disease (CHD) Deaths

Why Is This Important?

Coronary heart disease (CHD) is a condition in which blood flow to the heart is reduced. When the coronary arteries become narrowed or clogged, an inadequate amount of blood oxygen reaches the heart tissue. The part of the heart not receiving oxygen begins to die, and some of the heart muscle may be permanently damaged. Prevention of CHD is key to reducing mortality from heart disease.

Coronary Heart Disease Deaths, Utah and U.S., 1999-2017

For 2017, the age-adjusted rate for Utah was 66.5 deaths per 100,000 population. The age-adjusted rate for U.S. for 2017 was much higher than the rate for Utah (92.9 vs. 66.6 per 100,000).

Data Sources

Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2017

U.S. Centers for Disease Control and Prevention, on-line data - CDC WONDER

National Vital Statistics System, National Center for Health Statistics, U.S. Centers for Disease Control and Prevention

Data Notes

Data reflects deaths with ICD-10 codes I20-I25 listed as primary cause.
Utah rates are age-adjusted to 2000 U.S. standard population using 11 age categories and drawn from IBIS-Q. U.S. rates are drawn from CDC WONDER and may use different age-adjustment categories.
Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File 1999-2010. CDC WONDER On-line Database, compiled from Compressed Mortality File. Accessed at [http://wonder.cdc.gov/cmf-icd10.html].

Risk Factors

Individuals who smoke cigarettes, have high blood pressure, elevated cholesterol, diabetes, poor nutrition, a family history of heart disease, or who are overweight, obese, or physically inactive are at greater risk of developing coronary heart disease than individuals without these risk factors.

How Are We Doing?

The death rate from coronary heart disease has declined for both Utah and the U.S.
In 2017, the age-adjusted rate for Utah was 66.5 deaths per 100,000 population. In 1999 (the year ICD-10 codes began to be used for death records), the age-adjusted rate was 118.3 per 100,000.

What Is Being Done?

The Healthy Living through Environment, Policy, and Improved Clinical Care Program (EPICC) was formed in 2013, consolidating three Utah Department of Health programs (Diabetes Prevention and Control Program, Heart Disease and Stroke Prevention Program, and the Physical Activity, Nutrition and Obesity Program). The purpose of the consolidation was to ensure a productive, collaborative, and efficient program focused on health outcomes.
EPICC aims to reduce the incidence of diabetes, heart disease, and stroke by targeting risk factors including reducing obesity, increasing physical activity and nutritious food consumption, and improving diabetes and hypertension control. The program is organized around four domains:
*Domain 1: Epidemiology and Surveillance--gather, analyze, and disseminate data and information and conduct evaluation to inform, prioritize, deliver, and monitor programs and population health.
*Domain 2: Policy and Environment--environmental approaches the promote health and support and reinforce healthful behaviors (statewide in schools and childcare, worksites, and communities).
*Domain 3: Health Systems--Health system interventions to improve the effective delivery and use of clinical and other preventive services in order to prevent disease, detect diseases early, and reduce or eliminate risk factors and manage complications.
*Domain 4: Community Clinical Linkages--Strategies to improve community-clinical linkages ensuring that communities support and clinics refer patients to programs that improve management of chronic conditions.[[br]]
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The primary program strategies include:
*Increasing healthy nutrition and physical activity environments in K-12 schools
*Increasing healthy nutrition and physical activity environments in early care and education (childcare/preschool)
*Increasing healthy nutrition and physical activity environments in worksites
*Improving awareness of prediabetes and hypertension for Utahns
*Improving the quality of medical care for people with diabetes and hypertension
*Improving the linkages between health care providers and supporting community programs for Utahns with diabetes and hypertension
*Improving access and availability to community health programs for Utahns with diabetes, hypertension, and obesity.
*Improving care and management of students with chronic conditions in Utah schools

Healthy People Objective: Reduce coronary heart disease deaths

U.S. Target: 103.4 deaths per 100,000 populationState Target: 54.0 deaths per 100,000 population

Utah DOH

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